Extraction means removal of a tooth from its socket.
In some situations, tooth extractions may need to be postponed temporarily. These situations include:
Infection that has progressed from the tooth into the bone. Infections may make anesthesia difficult. They can be treated with antibiotics before the tooth is extracted.
The patient’s use of drugs that thin the blood (anticoagulants). These medications include warfarin (Coumadin) and aspirin. The patient should stop using these medications for three days prior to extraction.
Patients who have had any of the following procedures in the previous six months: heart valve replacement, open heart surgery, prosthetic joint replacement. These patients may be given antibiotics to reduce the risk of bacterial infection.
Patient who have high blood sugar level. Because,in these cases special precaution is necessary as the healing would be very slower.
An extraction is sometimes the only way to treat acute dental pain, particularly when a root-filling would be ineffective.
- First your dentist will anesthetized the area and tooth.
- After your tooth and surrounding structure become numb, he will reflect the gum area surrounding tooth.
- If the tooth is firm, dentist will use elevator and mobilize the tooth.
- Then he uses forceps to hold the tooth and use appropriate force to remove it from the socket.
- Then he will press the gums from both sides , put a gauze and tell you to bite on it for at least 30 minutes.
- But sometimes cases might be get complicated and a surgical attempt is needed.
After the extraction, the initial healing period typically takes from one to two weeks, and some swelling and residual bleeding should be expected in the next 24 hours.
It is important not to dislodge the blood clot that forms on the wound. Occasionally, this clot can break down leaving what is known as a dry socket. This can cause temporary pain and discomfort that will subside as the socket heals through a secondary healing process.
Proper care of the area will affect the healing process. Smoking and allowing food particles to pack into the socket should be avoided; in addition, it is important to take any medication that the dentist prescribes.Eventually, new bone and gum tissue will grow into the gap left by the extraction.
Consequences of tooth Extraction
Having a missing tooth can lead to several problems such as shifting teeth, difficulty chewing, and malocclusion. Often a dentist will attempt to restore the area with an implant, fixed bridge, or a denture.